IN-MOON IRIS PARK DC
NPI 1023851573
Chiropractor in Taylors, SC

Active since June 13, 2024
40 SAINT MARK RD, TAYLORS, SC 29687(864) 283-0600 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About In-moon Iris Park Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IN-MOON IRIS PARK DC (NPI 1023851573) is an individual chiropractor in Taylors, South Carolina, licensed in South Carolina (SC5052) and active in the NPI registry since June 2024. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1023851573
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameIN-MOON IRIS PARKCredential: DC
Location Address40 SAINT MARK RDTaylors, SC 29687-5233
Mailing Address40 Saint Mark RdTaylors, SC 29687-5233 · (864) 283-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1023851573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · SC5052
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
40 SAINT MARK RD, Taylors, SC 29687

Other Names 1

Professional Name (2)Iris Park Dc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

In-moon Iris Park Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850824673
PECOS Enrollment IDI20241031001145

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
40 SAINT MARK RD
TAYLORS, SC 29687
Chiropractor
40 SAINT MARK RD
TAYLORS, SC 29687
Chiropractor
40 SAINT MARK RD
TAYLORS, SC 29687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is In-moon Park's NPI number?

The NPI number for In-moon Park is 1023851573. It was assigned to this individual provider in the NPPES registry on June 13, 2024. The provider is also known as Iris Park Dc.

Where is In-moon Park located?

In-moon Park practices at 40 Saint Mark Rd, Taylors, SC 29687. The listed phone number is (864) 283-0600.

What is In-moon Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is In-moon Park enrolled in Medicare?

Yes. In-moon Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for In-moon Park was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.